St Mary Center for Rehabilitation & Healthcare

In the surveyor’s words

From the most serious findings on record at St Mary Center for Rehabilitation & Healthcare, in the surveyor’s own words.

• No harm, potential for more than minimal, widespreadF812Dec 19, 2025

  Based on policy review, observation, and staff interview, it was determined that the facility failed to properly store food and maintain sanitary conditions in the dietary department. Findings include: Review of the facility's policy entitled, Labeling and Dating Food, dated June 9, 2025, revealed that prepared foods that were held at 41 degrees Fahrenheit or lower were to be discarded after seven days. Observations during the tour of the dietary department on December 16, 2025, at 10:30 a.m., revealed the following: In the juice box, there were two cups of prepackaged water that were directly touching apples in a bowl. In walk- in cooler 1, there was an opened large package of potato salad not dated. […]

• No harm, potential for more than minimal, widespreadF812Jan 24, 2025

  Based on policy review, observation, and staff interview, it was determined that the facility failed to properly store food and maintain sanitary conditions in the dietary department. Findings include: Review of the facility's policy entitled, Date Marking for Food Safety, dated [DATE], revealed that staff was to date a food when it was opened and discard expired food items. Observations during the tour of the dietary department on [DATE], at 9:30 a.m., revealed the following: In the freezer, there were opened bags of onion rings, raw cookies, and fish sticks that were not dated. […]

• No harm, potential for more than minimal, patternF584Feb 23, 2023

  Based on observation, it was determined that the facility failed to provide a clean and homelike environment on three of four nursing units. (St. [NAME], St. [NAME], St. [NAME]) Observations on the St. [NAME] nursing unit conducted February 21, 2023, at various times, revealed room [ROOM NUMBER] had small pieces of debris, dust, and food particles on the floor. There was a large amount of dried yellow liquid under 205 bed A. These conditions were still present when observed on February 22, 2023, at 12:50 p.m. In room [ROOM NUMBER], there was scattered debris and paper against the wall beside bed B. Observations conducted on February 21, 2023, at 10:15 a.m., revealed that there was a strong pervasive urine odor in the St. [NAME] nursing unit corridor near rooms 306 through 311. […]

• No harm, potential for more than minimal, patternF697Feb 23, 2023

  Based on facility policy review, clinical record review, and staff interview, it was determined that the facility failed to attempt non-pharmacological interventions to alleviate pain prior to the administration of pain medication prescribed on an as needed basis for two of 24 sampled residents. (Residents 13, 48) Findings include: Review of the facility policy entitled, Pain Management, revealed that pain management interventions should be consistent with the resident's goals for treatment. Non-pharmacological interventions may be appropriate alone or in conjunction with medications. Clinical record review revealed that Resident 13 had diagnoses that included obstructive uropathy (urine cannot drain through the urinary tract) and pain in the left shoulder and right hip. […]

• No harm, potential for more than minimal, patternF584Jun 1, 2022

  Based on observation, it was determined that the facility failed to provide a safe, clean, and comfortable environment on four of four nursing units. (St. [NAME], St. [NAME], St. [NAME], St. [NAME]) Findings include: During the tour of all of the nursing units on June 1, 2022, at various times there were no housekeeping staff observed out on the floors providing service to rooms or nursing units. Observations on the St. [NAME] nursing unit in Room 303 revealed seven wash basins piled on the toilet lid in the bathroom and there was no plastic bags in the trash receptacles. In Room 305 there were med cups and debris on the floor. In the bathroom there was debris on the floor. The trash receptacles in the room and bathroom had no trash liner. […]